The Specialist Pain CentreDr. Raj Anand · Sydney
Lower Back Pain & Sciatica
All ConditionsBack & Spine

Lower Back Pain & Sciatica

Aching in the lower back, shooting leg pain, or difficulty standing and walking due to disc wear or nerve irritation.

Overview

Lower back pain is one of the most common reasons people visit a pain specialist. It ranges from a dull persistent ache to sudden sharp pain that makes movement difficult. Sciatica occurs when the sciatic nerve becomes compressed or irritated, causing radiating pain, numbness, or tingling.

Common Symptoms

  • Sharp or burning pain shooting down one leg (sciatica)
  • Dull lower back ache, worse sitting or standing
  • Morning stiffness in the hips and lower spine
  • Pain after lifting, twisting, or bending

Common Causes

  • Herniated or bulging lumbar discs pressing on nerve roots
  • Degenerative disc disease from age-related wear
  • Spinal stenosis (narrowing of the spinal canal)
  • Piriformis syndrome irritating the sciatic nerve
  • Poor posture, prolonged sitting, or repetitive strain

Our Treatment Approach

  • Targeted epidural steroid injections to reduce nerve inflammation
  • Radiofrequency ablation for facet-joint mediated pain
  • Spinal cord stimulation for complex or refractory cases
  • Guided physiotherapy and exercise rehabilitation
  • Non-opioid oral medications and topical agents

When to Seek Help

Seek urgent assessment if you experience loss of bladder or bowel control, rapid worsening weakness in both legs, or numbness in the saddle area.